HomeMy WebLinkAboutFDP201800019 Application 2018-09-14ri o� A
AA
E
�RGtN
COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road
Charlottesville, Virginia 229024596
Phone 434 296-5832 Fax 434 9724126
FLOODPLAIN DEVELOPMENT PERMIT
This form is intended to aid the Department in documenting and characterizing the nature of development proposed in the
floodplain. Development includes buildings or other structures, raining, dredging, filling, grading, paving, excavation or
drilling operations or storage of equipment or materials. The form responses will be used to determine whether a
floodplain impact plan or special use permit is required.
PIease check one: ® New Submittal with no anticipated floodplain impact (no floodplain impact plan)
❑ New Submittal with an anticipated floodplain impact. Please include afloodplain impact
plan. FEE required with submittal: $323 (Code 18-35.1g)
❑ FENIA Letter of Map Change (LOMA, LOMR) Please include a complete copy of all
material to be .submitted to FEMA. Include any computer models (HEC-RAS,ftles) on a disc.
FEE required with submittal: S161 (topographic info only), or 5323 (floodplain
modeling)
❑ New Submittal with a Zoning Special Use Permit. Please include a floodplain impact plan.
FEE required with submittal: 5323
❑ Resubmittal (Floodplain Development Permit Number ) Please include your
responve form from the original submittal. FEE as above required with each resubmittal.
A Floodplain Impact Plan, Special Use Permit, or F EMA Map Change will need to follow Zoning Floodplain Overlay
District requirements (County Code 18-30.3), found at
htt :1/www.albemarle.or u load/ima es/Forms Center/De rtments/Covnty Attorne /Forms/Albernarle County Code
Ch18_Zoning30 Overlay„Districts.pdf
Section 4 of the Design Standards Manual provides a list of required items to be included in a Floodplain Impact Plan.
This can be found at htt ://www.albemarle.or de artmeiit.g 7de artment=cdd&rei a e =4447
Lighthouse Instruments: James Veale
Owner Name (Print) Home Phone Office I Other Phone
2020 Avon Ct
Address
Charlottesville VA 22901
City State Zip Code
Tag Map & Parcel Number
Project Name (if applicable)
07700-00-00-00900
Instruments
Building Permit or Project Number (if applicable)
l Ut/2015
Please describe the nature of the development activity proposed within the floodplain (e.g. new structure, grading for a
playing field, driveway stream crossing, installation of a fence, etc.):
?hp disc urhan_ra in thp frond plain is limited to utility trenching for connection to the sewer main and fnr a ctnrmworatg inw
outfall into Moores Creek. Al the disturbed ground will be restored to existing grade when work is complete therefor- 6eer
coordination with Frank Pohl the county engineer no flood plain impact is anticipated.
(Please attach any plans or photos to this application)
1. If a structure is proposed, is the structure accessory to a recreational or agricultural use? Yes ❑ No 0 NIA
2. Does the proposed activity involve a stream crossing for a pedestrian trail or driveway
serving a single family dwelling? Yes ❑ No 0 NIA
3. Does any proposed fencing cross a stream channel? Yes ❑ No 0 NIA
4. if any fill is proposed, please a proximate the proposed amount of fill in the floodplain N/A
LOwner 1 Agent Signature Date - { f {a l e
(FOR OFFICE USE ONLY)
Checked By
Date
(for resubmittals) Fee Amount S; Date Paid$ By Who?
Receipt # Check #
1 /1/2015